Overview
The Personal Care program is a Medicaid benefit that helps clients with everyday tasks. These tasks are called activities of daily living and instrumental activities of daily living.
Reporting Information
Cost and Accountability Reports
View the Cost and Accountability Reporting Information.
Methodology/Rules
The Personal Care Services Reimbursement Methodology is located in Title 1 of the Texas Administrative Code, Part 15, Chapter 355, Subchapter J, Division 23, Rule 8441(a)(12).
The rules pertaining to the Personal Care Services Program are located in Title 1 of the Texas Administrative Code, Part 15, Chapter 363, Subchapter F, Sections: 363.601–363.607.
The fee schedules and any periodic adjustment(s) to the fee schedules are published in banner messages contained in provider Remittance and Status (R&S) reports, Medicaid Bulletin articles, web postings, provider manuals, fee schedules, or other provider notifications.
Payment Rate Information
Payment rate information is published by procedure code in the applicable Texas Medicaid Fee Schedule located on the Texas Medicaid & Healthcare Partnership (TMHP) website (see Fee Schedules).
- On the menu bar, click on Static Fee Schedules.
- Under Description, access the file – COMPREHENSIVE CARE PROGRAM – PERSONAL CARE SERVICES (File Name PRCR498C).
For information on the STAR Kids and STAR Health Payment Rates, please visit STAR Kids and STAR Health.